| NPI | 1407306954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEXUS WALLACE Administrator 407-656-2443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: FL AL12772) |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2016-10-08 |